| NPI | 1578056180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 22828) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 35018r) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-11-07 |